MR. TODD A GOODGLICK (NPI# 1053315036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053315036 |
| Entity Type | Individual |
| Full Name | MR. TODD A GOODGLICK |
| Credential | MD |
| Practice Address |
5454 Wisconsin Ave Ste 950 Chevy Chase MD 20815-6912 |
| Mailing Address |
5454 Wisconsin Ave Ste 950 Chevy Chase MD 20815-6912 |
| Practice Telephone | 3016545114 |
| Practice Fax Number | 3016549132 |
| Mailing Telephone | 3016575700 |
| Mailing Fax Number | 3016549132 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 0101043516 | VA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD21176 | DC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | D0037803 | MD | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
MD21176 | DC | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
0101043516 | VA | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
D0037803 | MD | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
0101043516 | VA | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
MD21176 | DC | Allopathic & Osteopathic Physicians |
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
D0037803 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 355041900 | 05 | |
| DC | 022589600 | 05 |
| Street Address |
5454 WISCONSIN AVE STE 950 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687509 | David K Berler | Specialist | 5454 Wisconsin Ave, Ste 950, Chevy Chase, MD 20815-6912 | 2005-05-24 |
| 1558992610 | Brittney Achelle Wagner | Specialist/Technologist | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2020-01-28 |
| 1215409495 | Andrew Yost | Physical Therapist | 5454 Wisconsin Ave, Suite 600, Chevy Chase, MD 20815-6927 | 2018-12-27 |
| 1720556616 | Tyler Toggas | Physical Therapy Assistant | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2018-11-08 |
| 1285179200 | Healing Voice Center, LLC | Speech-Language Pathologist | 5454 Wisconsin Ave, Suite 1725, Chevy Chase, MD 20815-6901 | 2016-12-29 |
| 1750823704 | Daniel Mervis | Student in an Organized Health Care Education/Training Program | 5454 Wisconsin Ave, Barlow Building #1100, Chevy Chase, MD 20815-6901 | 2016-11-08 |
| 1790237972 | Luna Claire Levinson | Registered Nurse | 5454 Wisconsin Ave, #401, Chevy Chase, MD 20815-6901 | 2016-11-03 |
| 1922556885 | Kathi Kolbe Msw LLC | Social Worker | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2016-09-20 |
| 1144775974 | Kathi Kolbe | Social Worker | 5454 Wisconsin Ave, Chevy Chase, MD 20815-6901 | 2016-08-22 |
| 1467906057 | Advanced Pain Medicine Institute, PC | Anesthesiology | 5454 Wisconsin Ave, Suite 1600, Chevy Chase, MD 20815-4404 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on MR. TODD A GOODGLICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.